| NPI | 1528844693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN I. JOHNSON-MARTELL DNP, FNP-D President, Founder, Clinican 757-915-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |